Surgically Treated Posterior Acetabular Fractures Via Iselin’s Modified Approach with A Short-Term Follow-Up

Authors : Erdem DEĞİRMENCİ, Zafer ORHAN, Mehmet ARICAN, Zekeriya KARADUMAN, Yalçın TURHAN, Ozan TURHAL

Pages : 93-99

Doi:10.19127/mbsjohs.561885

View : 29 | Download : 13

Publication Date : 2019-08-28

Article Type : Research Paper

Abstract :Objective: The main purpose of the surgical treatment of posterior acetabular fracture is to achieve anatomical reduction to attain a functional and stable hip joint without pain. Although Kocher-Langenbeck insert ignore into journalissuearticles values(K-L); approach is the most commonly used surgical exposure, various modified approaches have been described in the literature. The aim of this study to determine the early surgical results of the acetabulum posterior fractures surgery via Iselin`s modified K-L approach. Methods: We reviewed the hospital records of patients who were operated for acetabulum posterior wall fractures via Iselin`s modified approach between 2016 and 2018. All patients had detailed radiological, clinical evaluation and fractures were classified by AO/ASIF classification. All patients had radiological and clinical evaluation at the end of the postoperative 1 st year. Results: There were 16 men and 4 women with an average age of 42.8±18.0 insert ignore into journalissuearticles values(range 18-77); years. The average follow-up was 14.8±6.1 insert ignore into journalissuearticles values(range 6-28); months. The right hip was involved in 12 insert ignore into journalissuearticles values(60%); patients and the left in 8 insert ignore into journalissuearticles values(40%); patients. The average operative time was 78.6±16.7 insert ignore into journalissuearticles values(range, 54–115); minutes. Average blood loss during the operation was 179.22±51.9 insert ignore into journalissuearticles values(range, 100–260); ml. The postoperative reduction was graded as anatomic insert ignore into journalissuearticles values(0–1 mm of displacement); for 17 hips and imperfect insert ignore into journalissuearticles values(2–3 mm of displacement); for 3 patients. No patient had a deep infection, implant loosening, recurrent dislocation, deep venous thrombosis insert ignore into journalissuearticles values(DVT);, pulmonary embolism insert ignore into journalissuearticles values(PE); or revision fixation . Conclusion: The modified approach of Iselin is a successful approach with its ease in the surgery of displaced fractures that extending proximally and early radiological and functional results.
Keywords : Acetabulum Fracture, Posterior Wall, Modified Method of Iselin